Friday, 31 July 2015

If you follow
social media from our colleagues in the Centre for Research Collections (CRC),
you may know Skills for the Future trainee, Paul Fleming,
who’s with the CRC until mid-autumn on a programme to expand his experience and
knowledge of roles in heritage institutions. Well, Paul is currently spending
some time at LHSA working with medical collections and in this week’s blog, he
tells us about himself, how he first came into contact with LHSA and tells us about the Skills
for the Future programme:

My first
experience with LHSA came in the form of a
series of practical seminars during my third year as a history student at the
University of Edinburgh. I did not stumble onto this course by accident, or
just because I had to pick something: I had been taking a one year course called
Madness and Society which I found highly interesting and fascinating and through
this I developed a passion for medical history and the richness of the original
sources which the field had to offer. So naturally, when the chance came up to
work with LHSA’s archival materials and one of their archivists it was my first
choice for the third year course History in Practice.

However, at the
time I was simply excited about getting to see some of LHSA’s vast collection
and did not foresee the impact that this would have on my life and future
career. I became truly inspired by the archive and the role of the archivist.
When studying history there is one question you are frequently asked by
friends, family and people you meet – “what are you going to do with a history
degree, become a teacher?” To be fair, I had no real idea what I was going to
do to start with as I was simply enjoying learning and developing the set of
skills needed for history. But that changed after my seminars with LHSA: I now found
myself responding to that almost rhythmically frequent question – “I quite
fancy a career in archives”.

Now… this
stared to throw up all sorts of different assumptions as friends pictured me as
some sort of Gandalfesque figure stalking some deep dark cavernous basement,
battling through giant cobwebs with lantern in hand – coughing and spluttering
as dust is disrupted from its slumber on some ancient scroll. As appealing as
that actually sounds to me, I knew from my time at university that the
perception of archives doesn’t always match the reality. The Centre for
Research Collections (CRC), where LHSA is based, is a refreshingly bright space
with spectacular views of the city of Edinburgh and the surrounding hills, as
it sits not in the basement but on the top two floors of the University’s main
library.

CRC offices on the top floors of the George Square library.

My time as a
student with LHSA also gave me ammunition to fight the perception of the
archivist as some sort of solitary figure, cut off from the rest of the world
with nothing but old manuscripts to turn to for companionship. Nothing could be
further from the truth in the modern age. If it wasn’t for the archivists willingness
to engage, (be it with students, researchers, or the wider public) then I would
not have been inspired to travel the path which I now find myself on. Outreach,
advocacy and education are becoming just as important as cataloguing and
dealing with enquiries. Not only do they challenge some of the assumptions
mentioned above, such programmes are also highly valuable for demonstrating the
importance and value of archives for our cultures and societies – especially
during times like these when funding is a rare beast to find. Fundamentally,
for me anyway, I feel that archives are about stories and what good is a story
if it is never shared?

So what happened
next? Well… after graduating last year I found out about the brilliant Skills
for the Future project (courtesy of a lovely archivist I met whilst camping in
the Highlands) which is run by the Scottish Council on Archives (SCA). This
gives six trainees each year, for three years, the chance to work and gain
valuable experience in archives throughout Scotland. This on its own seemed like a brilliant opportunity for someone like me to break into the
sector. However, the fact that there was a traineeship positon at the CRC,
where my passion for archives was born, I knew it was the one I had to go for.
When I was told that I was the successful candidate I literally jumped for joy,
but still found it hard to believe that I would be working in the same place
that I had been a student.

Paul working on the Laing collection in the CRC stores. Not a cobweb in sight...

I am now almost
nine months into my traineeship and I have had some wonderful experiences.
These include being involved in the Explore your Archive social media campaign;
planning and running school workshops for the Widening Participation project;
and cataloguing some of the University of Edinburgh’s David Laing collection
(in which you can discover absolute treasures every time you open a box). However,
on a more personal level, getting the chance to spend two months working for
LHSA cataloguing the neurosurgeon Norman Dott’s case notes has been truly
remarkable – and pretty surreal to be sitting on the other side of the wall to
the seminar room where my old workshops were held. I always did wonder what it
looked like on the other side - well now I know.

Friday, 24 July 2015

On 12th August Iain Phillips’ secondment at
LHSA comes to an end. He updates us on what he has been up to since his last
blog post.

Recording oral
histories – Part 2

My last postdetailed the preparations for my first oral history recording with a nurse
whose work had relevance to our HIV/AIDS collections. I also mentioned that
have been inspired to run a short oral history project in the John Lewis
Edinburgh store where I work

The two oral history
projects

I have started recording for both projects in LHSA and
John Lewis Edinburgh and, although they require the same skills, the final use of
the recordings will be quite different. This highlights the many uses that
oral histories have.

The recordings stored with LHSA will be under strict
control of the archivist, where access will be limited to allow research and, if
requested by the interviewee, some may have their access restricted for a requested
length of time. This is understandable due to the subject being discussed -
you may get a more frank discussion if the interviewee knows there is a time
limit before the recording will be released.

In contrast, the intention for the project in John Lewis
Edinburgh is to share the Partners’ stories immediately through a website so
both current working Partners and the general public can listen to these. The
recordings will also be deposited with the John Lewis Heritage Centre.

My first LHSA recording

In formulating the questions for my first oral history
recording I did a little research. I accessed documents from the Lothian Regional AIDS Team (GD24)
collection which had correspondence, meeting notes and various drafts of the
proposal for the project my interviewee was involved in. I felt this provided
me with more confidence to talk about a project that I originally knew very
little about and also inspired questions that I would not necessarily have
thought of. As this was successful for my first interview, I will be doing
similar research for my second interview with someone who has experience with
providing pastoral care for those affected by HIV.

Before booking a room, I consulted with Clare Button, Project
Archivist on the Towards Dolly project,
who had some experience with oral histories. One of her tips was to use the
sound-proofed video conference room in the George Square Library. This,
partnered with the background noise reduction feature on the voice recorder,
meant the recording was clear and required no post recording editing to remove
background noise.

When it came to recording the interview, the time flew by.
To set the scene, the interviewee and I were sitting at a table, face to face,
with the sound recorder sitting between us. I had a page full of questions and
topics to cover sitting in front of me and I went through the agreement and
copyright form with the interviewee. I then pressed record and introduced the
recording - this helps an archivist and any listeners understand what the
recording is. My page of questions and topics were spent after about 20
minutes. It went a lot quicker than I expected but everything I wanted to
discuss was covered in the recording. The interviewee then signed the agreement
after the recording. It was then time to catalogue and transcribe the
recording.

Cataloguing and
Transcription

Following some further training from Louise on creating
catalogue entries and transcription I got started on creating two documents: a
catalogue entry that summarises the important points and timings of the
recording and a transcription which records the interview word for word.

The catalogue entry was relatively straightforward since I adapted a template that Louise provided. I listened to the recording the whole
way through, marking the time and the general topic discussed at these points.
Important information about the whole length of the recording and the format it
is held in was also added.

The transcription document was a lot more time-consuming. In
my training, Louise had shared the fact that some oral histories may take seven
times the length of the recording to transcribe them, and there does not appear
to be a piece of software that can do it accurately enough yet! Essential, for
me, was the software package Express Scribe by NCH. This allowed me to
slow the speed of the recording to half the normal speed, and also used the
function buttons on my keyboard to pause and play. The big advantage of using
the function buttons was that I did not need to exit the Microsoft Word
document I was typing in, saving me a lot of time. The transcription took about
a day to complete and I think I will get faster as I do more.

Iain transcribing his first oral history interview...

The next LHSA
recording

Listening to my first recording there are a few other things
that I have learnt to take to the next one. There were a huge number of ‘ums’
in my first recordings when I was asking questions. That should be easy to fix,
I just need to understand that pausing is natural and try not to fill it with
‘ums’!

Keep an ear out for jargon and acronyms. There was one acronym
that slipped by me during the first interview and without clarifying it during
the interview I needed to add a key on the transcription.

Leaving a legacy

The first two recordings I am doing for LHSA is creating
a framework to allow the LHSA team to continue adding recordings of personal
stories to add context to existing HIV/AIDS paper and object collections held
at LHSA. The intention is to continue to interview retired policy makers, retired
healthcare personnel, staff working in charities to support those affected by
HIV in Edinburgh and the Lothians and possibly service-users of those
charities. This project is ongoing and would have been much more difficult to get off
the ground without the support the John Lewis Golden Jubilee Trust secondment
paying for me to work at LHSA for two days a week for 24 weeks.

Thank you

I would like to thank all of those within LHSA and the Centre for Research Collections who have
welcomed me and made me feel part of the team. Thank you also to my team back
in John Lewis who have supported me in this. I particularly would like to thank
my supervisor Louise at LHSA who has taken a lot of time to support me in
this secondment and has given me the opportunity to make an important
contribution to preserving the history of a city I both love to live and work
in. Finally, this secondment would not have been possible without the
enthusiastic support from the John Lewis Edinburgh Communities Liaison Coordinator,
Judith.

Friday, 17 July 2015

X-rays were originally produced on glass plates using a photographic emulsion. X-ray sheet film was first developed by Kodak in 1913 and used a thick
nitrate base. This was followed with film made with two sides coated in nitrate
in 1918. Nitrate film was found to be flammable, which led to the
development of “safety” film, made from an acetate base, by Kodak in 1924. From
the 1950s onwards polyester was mainly used to make X-rays as it is a more
stable material. Today, X-rays are made and stored in a digital format and can be printed out on film or paper if needed.

X-ray of a pair of feet

The X-rays found in LHSA’s collections are a valuable source of
information, however, the nature of their material composition means that they will, inevitably, degrade over time. As cellulose nitrate deteriorates it emits a strong odour,
discolours to an amber colour, and becomes sticky and brittle.

Degraded X-ray on Cellulose Nitrate

As acetate film degrades it
emits a vinegar smell caused by the release of acetic acid. This is known as
"vinegar syndrome", which also has the potential to cause damage to paper-based collections held in close proximity. Once deterioration begins, the chemical process
becomes autocatalytic, meaning that degradation will take place at a faster and
faster rate. When the film degrades, the base shrinks, and the emulsion starts
to separate from the base and begins to crack. The film becomes
brittle and eventually shrivels or buckles distorting the image beyond use.

Degraded X-ray on Cellulose Acetate

Due to these problems, it was decided to separate the X-rays from
the rest of the collection. A comprehensive digitisation programme was carried out to capture the information held, and these images were cross-referenced with case histories that accompany them. Because of the risk cellulose nitrate film poses in an emergency situation such as fire, the limited number of originals on this type of film base will be safely destroyed. The X-rays on cellulose acetate will be placed in to frozen
storage to slow down the rate of deterioration. Read all about how we do this
in the next LHSA conservation blog!

Friday, 10 July 2015

In this week’s blog Project Cataloguing Archivist, Clair
looks at the foundations laid by Norman Dott for the future of Neurosurgery…

The process of cataloguing Professor Norman Dott’s
Neurosurgical case notes (1920-1960)has made me think about the
wider history of Neurosurgery from its foundations, to the way in which it is
practiced now. Sticking to the Edinburgh context, I decided to find out a bit
about how Neurosurgery developed after the days of Dott and how his legacy
paved the way for the future of the medical science.

﻿

Photograph of Professor Norman Dott. LHB1 CC24-PR1.1536

Around ninety years ago Dott began working with the great
Harvey Cushing, motivating Dott’s enthusiasm for neurosurgery and his approach
in specialising in this area of medicine. From there the foundations of
neurosurgery in Edinburgh had been made, with Dott opening up the first
dedicated neurosurgical ward in Scotland, in 1938, at the Royal Infirmary of
Edinburgh (RIE). Now with the facilities to practice this medical specialism,
Dott made an incredible impact on the development of surgical neurology. He
undertook major work in intracranial operations, pioneering surgeries
throughout the 1920s and 1930s, and was one of the founders and presidents of
the Society of British Neurological Surgeons.In his later years this prestigious career continued when Dott developed
a new Department of Surgical Neurology at the Western General Hospital (WGH) in
the early 1960s (more information about this development can be found in a past blog post here).
Although he retired in 1963 this unit was a lasting testimony from Dott to the
future of Neurosurgery.

Photograph from a promotional brochure for the Department of
Surgical Neurology (WHG) showing the operating theatre. LHB11/7/2

The development of the neurosurgical unit at the WGH meant
that the second half of the twentieth century saw neuroradiology,
neuroanesthesia, neuropathology, clinical neurophysiology and neuropsychology
all being practiced in one purpose built site. When Dott retired he was
replaced by Professor John Gillingham, who had worked as a consultant
neurosurgeon under Dott’s directorship. Gillingham’s career, undoubtedly
influenced by Dott, saw him make international contributions to the
neurosurgical treatment of movement diseases such as Parkinsonism, and in his
work with spinal and head injury patients, he became a campaigner for
legislating the use of seatbelts in cars. Two other neurosurgeons, who trained
under Dott, include Phillip Harris and John Shaw. Harris also went on to
specialise in spinal trauma, whilst Shaw played an important role in the
recognition of paediatric neurosurgery as a separate medical specialism.

By the 1980s many of the neurosurgeons appointed by Dott
were beginning to retire, including Gillingham, Shaw and Harris and also Kate
Herman and Sneddon Watson. The face of surgical neurology in Edinburgh was also
beginning to change and by the late 1980s the Surgical Neurology Department at
the WGH merged with the University of Edinburgh department of Medical Neurology
in 1986 forming a new Department of Clinical Neurosciences, with a physical
merge at the WGH in 1989. Combining surgical practice and medical research made
way for advances in neuroscience technology, particularly in imaging services, facilitating the use of MIR (magnetic resonance imaging) scanning technology
in the department.

Moving into
the 1990s saw major changes for NHS administration and financial difficulties
for Lothian Health Board (LHB). However, the Department of Clinical Neurosciences
continued to develop, building an intensive care unit so that all severe head
injury patients could be admitted to the Department at the WGH. Today the
Department of Clinical Neurosciences still operates in the WHG, with ten
Consultant Neurosurgeons, 48 beds throughout 3 wards, serving a population of
800,000 across Lothian, Fife and Southern Scotland.

From the days of Dott it has been interesting to chart the
developments in neurosurgery and the strong links that his remarkable career
has had to the future of the medical science and treatment of neurological
conditions. From the pioneering work that came from those
influenced by Dott’s work and training, to the neurosurgical departments and
facilities that he established, neurosurgery continues to develop in
Edinburgh today.

Friday, 3 July 2015

It’s been busy in the last few weeks in the Centre
for Research Collections reading room. This week, Archivist Louise looks at what LHSA readers have been up to...

It (finally!) seems to be summer time again. You’d think
that the sun would signal a quiet time in university archives – most of the students
are on their summer breaks and genealogists’ thoughts are perhaps turning more
to the lilo than lineage…. However, judging by the last few weeks at LHSA,
that’s not at all the case!

Summer time means that academics are released from their
teaching and finally have some time to do their research and postgraduates
enjoy the relative quiet of the campus outside semester time. They’re certainly
doing that in the Centre for Research Collections reading room, with this past week rarely seeing
a spare table on the sixth floor. LHSA readers, for example, are researching control
of infectious disease in the early twentieth century, late eighteenth and early
nineteenth century fever medicine, child psychiatry, public health policy in
Edinburgh and the relationship between physicians and patients at the Royal
Edinburgh Hospital.

To this end, we’ve been searching out items from the stores,
including items from our fascinating City of Edinburgh public health
collection:

LHB16/2/31 – extract from the 1930 Annual Report of the
Public Health Department of the City of Edinburgh

We’ve been finding copies of the Royal Edinburgh Hospital
magazine, the Morningside Mirror, for a postgraduate researcher looking at
the relationship between doctors and patients at the institution:

Pages from the Morningside Mirror (LHB7/13/5)And we’re going to search out our oldest Royal
Infirmary of Edinburgh case notes for our visitor researching early fever medicine….

Page from a volume from physician John Gregory, documenting cases from 1771 - 1772 (GD1/66)

… as well as polishing our collection of brass plaques to
help another researcher to investigate the history of modern infectious disease nursing:

Bed plaque from LHSA hospital plaque collection (Q86)In addition to these wider topics, academic researchers have
also been looking more closely at individual lives. One reader found a trace of
a literary academic and intelligence corps. officer as a patient in Craigleith
Military Hospital during the First World War, and another searched inside the papers of the Edinburgh
Society for the Relief of the Destitute Sick for a mention of ballads donated
by James Bertram to Walter Scott and William Laidlaw:

Letter from William Bertram to his brother James (1801) that helped to shed new light on one reader's research (GD10/13/7). William Bertram left a bequest in his will to the Edinburgh Society for the Relief of the Destitute Sick, which accounts for his papers' presence in our collections.

The breadth of the research taking place this summer is a
reminder that the archives that we hold are relevant to academics from a wide
spectrum of disciplines, not only in the history of medicine – showing how
medicine and its institutions were an integral part of both individual life
histories and larger social and cultural currents.

Thursday, 2 July 2015

Yesterday, Stephen, our Archive Assistant, left us for pastures new to work with the CRC user services team. We wish Stephen all the best in his new role and although we'll miss him, we know that he'll only be upstairs on the sixth floor! In this week's blog, Stephen reflects on his last eight years working in the LHSA team...

As I bid farewell to LHSA after eight years
as the archive assistant I present a snapshot of the wide variety of different
tasks I have done in this role. When I first started in May 2007, my duties
were focussed on re-ordering over 200,000 of LHSA’s case notes and producing
handlists for each collection. Once this was completed, handlists were written
for case note collections already in the correct order as well (another 800,000
case notes) and finally a case note database was created condensing the
information from these tasks, considerably increasing the accessibility of
these records. The image shows a page of an unusual case note from 1910 found in
the Alexander Miles collection with a hand drawing of the operation in
progress:

Alexander Miles case note, from Royal Infirmary of Edinburgh case note collection (LHB1 CC)As well as core duties of collecting items for readers at
the library, helping with transit of material between the LHSA’s storage
locations at the Main Library and the Library Annexe in South Gyle, and
supporting the University of Edinburgh’s Centre for Research Collections, I have
had the privilege of working with a wide variety of the LHSA’s collections.

I have scanned and produced a catalogue of 3600 of LHSA’s
35mm slides, re-housed over 6000 glass plate negatives, catalogued boxes of
photographs and listed LHSA’s departmental files. The image shows a 35mm slide
of the entrance to the Accident and Emergency Department at the Royal Infirmary
of Edinburgh in approximately 1900.

Digitisation and photography
have been a regular part of my duties and I have photographed many of the
fascinating objects accessioned by the archive for the objects database, such
as this beautiful nursing badge from Leith Hospital:

Leith Hospital nursing badge (LHSA object collection, O472)

Also more recently
I have bookscanned the first seven volumes of the Royal Edinburgh Hospital newscuttings
books.

Occasionally I have been asked to perform some more unusual
tasks. I helped to set up shelves in the archive stores wearing a hard
hat in 2008 and earlier
this year, I helped bag and dispose of confidential anatomy department records
after their appraisal in the basement of the McEwan Hall prior to its refurbishment. So, all in all
it has been a very busy but enjoyable and worthwhile time here. I look forward
to the new and different challenges in my next role.

Lothian Health Services Archive holds the historically important local records of NHS hospitals and other health-related material.
We collect, preserve and catalogue these records and promote them to increase understanding of the history of health and for the benefit of all.

Use of images from LHSA collections

We can provide images from items in our collections, subject to various conditions. Images are provided for private study or non-commercial research, and cannot be used for other purposes unless you request and receive written permission from LHSA to do so.

If you wish to use any images that have been featured on this blog, please contact us at lhsa@ed.ac.uk and we will be happy to discuss permissions with you.